2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Welcome to Kawabe Memorial House, a thriving senior community established in 1969 by the descendants of Harry S. Kawabe. With a mission to provide secure and affordable housing for first-generation immigrant seniors, this ten-story building houses 174 residents, averaging 76 years of age. Located east of Seattle’s International District, the apartments offer stunning views of downtown, Elliott Bay, and the Cascades and Olympic Mountains. Kawabe Memorial House operates as a private non-profit organization, governed by a corporate Board of Directors.
Beyond independent living, the community provides a range of culturally sensitive services, including translation assistance in Japanese, Chinese, and Korean, and group recreational outings. Residents can partake in Tai Chi classes, bingo, and Shigin (Japanese singing). Moreover, the Asian menu inspired lunch program, which serves an average of 65 people daily, welcomes both residents and community members aged 60 and above, with menus translated into multiple languages. Kawabe Memorial House exemplifies the power of community involvement, as residents actively contribute to special projects. They raised $10,000 through bake sales and rummage sales for a garden restoration initiative. Additionally, an Arts grant facilitated the creation of sixteen postcards designed by an artist, showcasing residents’ life stories and translated captions in various languages. As part of the same project, residents recorded their narratives in their native languages, creating a captivating listening station within the premises. At Kawabe Memorial House, seniors find not only a safe and affordable place to live but also a close-knit community that cherishes their diverse backgrounds and fosters a sense of purpose and belonging.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 52nd out of 90 homes in Washington for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 48m per day | ▼ 12% State avg: 54m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 54m per day | ▲ 14% State avg: 48m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 14m per day | ▼ 17% State avg: 2h 41m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 38m per day | ▼ 8% State avg: 3h 57m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 0m per day | ▼ 100% State avg: 6m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 34m per day | ▼ 14% State avg: 39m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
33% fewer staff per resident than Washington average
5% better than Washington average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
14 total: 12 full-time employees and 2 contractors.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursAssists with medical care and medications.
All 10 LPN Staff are full-time employees. No contractors work on this role.
10
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursHelps with daily care and mobility.
All 37 CNA Staff are full-time employees. No contractors work on this role.
37
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 37 | 0 | 37 | 15,242 | 92 | 100% | 8.6 |
| Licensed Practical Nurse | 10 | 0 | 10 | 4,374 | 92 | 100% | 9 |
| Registered Nurse | 12 | 2 | 14 | 3,791 | 92 | 100% | 8.3 |
| Physical Therapist | 12 | 0 | 12 | 3,635 | 76 | 83% | 7.8 |
| RN Director of Nursing | 5 | 0 | 5 | 1,927 | 83 | 90% | 8.7 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 1,237 | 77 | 84% | 8.4 |
| Occupational Therapy Aide | 4 | 0 | 4 | 965 | 76 | 83% | 7.6 |
| Other Dietary Services Staff | 3 | 0 | 3 | 722 | 90 | 98% | 6.8 |
| Mental Health Service Worker | 2 | 0 | 2 | 719 | 62 | 67% | 7.7 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Dietitian | 1 | 0 | 1 | 352 | 45 | 49% | 7.8 |
| Nurse Aide in Training | 1 | 0 | 1 | 277 | 35 | 38% | 7.9 |
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
42% higher than Washington averageWashington average: $82K
8% more fines than Washington averageWashington average: 1.8
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Washington averageWashington average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Feb 2, 2024 · $68K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 2, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.7
17% worse than Washington averageWashington average: 10.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.7
23% worse than Washington averageWashington average: 20.9
Percent of long-stay residents whose need for help with daily activities has increased
15.6%
5% better than Washington averageWashington average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
31.3%
43% worse than Washington averageWashington average: 21.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.3%
25% worse than Washington averageWashington average: 24.3%
Percent of long-stay residents experiencing one or more falls with major injury
0.4%
83% better than Washington averageWashington average: 2.6%
Percent of long-stay high risk residents with pressure ulcers
5.3%
9% worse than Washington averageWashington average: 4.9%
Percent of long-stay residents with a urinary tract infection
1.8%
In line with Washington averageWashington average: 1.7%
Percent of long-stay residents who lose too much weight
5.9%
In line with Washington averageWashington average: 5.8%
Percent of long-stay residents who have depressive symptoms
24.1%
49% worse than Washington averageWashington average: 16.2%
Percent of long-stay residents who received an antipsychotic medication
20.3%
40% worse than Washington averageWashington average: 14.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
86.7%
10% worse than Washington averageWashington average: 96.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
62.5%
33% worse than Washington averageWashington average: 93.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
44.5%
49% worse than Washington averageWashington average: 88.1%
Percent of short-stay residents who newly received an antipsychotic medication
1.6%
13% worse than Washington averageWashington average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
44.1%
46% worse than Washington averageWashington average: 82.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
20% of new residents, usually for short-term rehab.
76% of new residents, often for short stays.
4% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
78Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Kawabe Memorial House from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #86 / 94Payroll — State benchmarkedThis home is ranked 86th out of 94 homes in Washington. Shows total annual staff payroll benchmarked to the Washington average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Washington that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #3 / 94Payroll % — State benchmarkedThis home is ranked 3rd out of 94 homes in Washington. Shows payroll as a percentage of revenue versus the Washington average. Well-run Washington facilities typically land around 53–61% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Washington that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (76% of admissions), and a typical private pay stay runs around 27 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.5 miles from city center
Estimated distance in miles from Seattle's city center to Kawabe Memorial House's address, calculated via Google Maps.
— 0.43 miles to nearest hospital (Swedish)
Add your location
| Kawabe Memorial House | IL NH | Seattle (Central District) | - | 100
Facility
100
WA AVG
82
Rank
#93 / 366 | - |
94
Facility
94
WA AVG
51
Rank
#21 / 628 | - |
| Skyline | IL AL MC NH | Seattle (Downtown Seattle) | - | 34
Facility
34
WA AVG
82
Rank
#343 / 366 | - |
98
Facility
98
WA AVG
51
Rank
#7 / 628 | 1 Bed / 2 Bed |
| Providence Mount St. Vincent | IL AL NH RC | Seattle (North Admiral) | - | 122
Facility
122
WA AVG
82
Rank
#43 / 366 | - |
60
Facility
60
WA AVG
51
Rank
#252 / 628 | - |
Kawabe Memorial House is located in Seattle, Washington.
Here are the financial assistance programs available to residents in Washington.
Kawabe Memorial House is in the Central District neighborhood.
Kawabe Memorial House has a walk score of 94. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
Kawabe Memorial House's occupancy is 77.2%.
Kawabe Memorial House is registered as a for-profit.
Yes — there are 4 photos of Kawabe Memorial House in the photo gallery on this page.
Kawabe Memorial House is located at 221 18Th Ave S, Seattle, WA 98144.
(206) 322-4550 will put you in contact with the team at Kawabe Memorial House.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
